Here lingual frenum is reduced by giving cross-
diamond incision.
After incision sub mucosal dissection is done on
either side and vertical suturing is done.
Lingual frenictomy
• Ankyloglossia or Tongue-tie.
• Dense fibrous septum that binds the tip of the tongue to
the alveolar process.
• Aims:
• To correct speach.
• Prior to denture construction.
• Improve tongue mobility.
• Here is another case with the same treatment.
Excision of epulis
fissuratum
• These are benign , pedunculated lesions present as
excessive or redundant tissue of the vestibule,
frequently associated with over extended denture
border.
• These lesions are removed by sharp excision ,
electrocauterization , cryosurgery or laser excision.
• V-Y incision :
• These incisions are used for lengthening localized
area.
• Semi lunar incisions :
• These incisions are used for broad premolar and
molar regions.
• (Cross-diamond excision)
Redundant crestal soft
tissue (flappy ridge)
• The presence of the fibrous, hyperplastic tissue
gives rise to flalppy ridge form.
• These flappy ridges result in unstable base for
dentures.
• In maxilla - enlarged tubrosity.
• In mandible - enlarged retromolar pad.
• Surgical removal is done by particular requirements
of the tissue growth.
• Excessive hypermobile tissue on the alveolar ridge is
generally the result of resorption of the underlying bone ,
ill-fitting dentures or both.
• Two parallelfull thickness incisions are made on the
buccal and lingual aspects of the tissue to be excised.
• A periosteal elevator is used to remove the excessive soft
tissue the underlying bone.
• A possibe complication of this procedure is the
obliteration of the buccal vestibule as a result of tissue
undermining necessary to obtain tissue closure.
• Base of growth held with Allis forceps.
• Sharp submucosal dissection is done to form a flap
followed by sharp submucosal excision of the
growth and the flap is sutured back.
• Severely scarred tissues excision followed by
supraperiosteal placement of free mucosal palatal
graft.
• Supervision By: Assistan Prof Dr : Tagreed Ahmed Al-kibsi
• Done By : Hebah Al Babani
• AHMED HABIB
• Ahmed Abdelrhman or Habib or Eldobhani ( it's the same
person)
• AHMED ABDELRHMAN
• AHMED EL DOBHANI
• Walid Khalid
